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Ohio Environmental Council Family of Organizations
Event Request
Thank you for your interest in the Ohio Environmental Council and/or Ohio Environmental Council Action Fund for your upcoming event. Please fill out the following form to help our staff understand your event/speaking engagement opportunity. We will respond shortly with our availability.
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Email
*
Your email
REQUESTER CONTACT INFORMATION
Please tell us a bit about you and your organization.
Organization Name
*
Your answer
First & Last Name of Contact Person
*
Your answer
Email Address of Contact Person
*
Your answer
Phone Number of Contact Person
*
Your answer
EVENT/SPEAKING ENGAGEMENT INFORMATION
Please tell us a bit about your event and speaker needs.
Event Details (2-3 sentence description of the event)
*
Your answer
Event Name
*
Your answer
Event Date (if known)
MM
/
DD
/
YYYY
Event Date (if not planned yet, please indicate the days you are exploring)
Your answer
Event Time(s)
Your answer
Event Location
*
(If online, please indicate by writing "virtual")
Your answer
Expected Number of Attendees
*
Your answer
Event Audience (for example: employees, general public)
Your answer
Is this an annual or recurring event?
Yes
No
Other:
Clear selection
How can we help at your event?
*
Keynote speaker/presentation
Panel speaker/presentation
Community engagement (staff a table with information)
Other:
Required
SPEAKER INFORMATION
If you're requesting a speaker for your event, please fill out the following sections.
Organization Request
Ohio Environmental Council (OEC) - 501c3 organization (
https://theoec.org
)
OEC Action Fund - 501c4 organization (
https://www.theoecactionfund.org
)
Unsure - please contact me
Topic of Interest/Expertise Needed
Your answer
Name of Preferred Event Speaker
(If you know the name of the person, please share here)
Your answer
Speaking/Presentation Duration (in minutes)
Your answer
Please provide any additional details here for consideration (topics, audio/visual components, available honorariums, etc.)
Your answer
Can we add you to our email list to receive notifications about environmental policy action items, exciting events, and more?
*
Yes
No
Send me a copy of my responses.
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